Is the Silhouette InstaLift Right for You?

Dr. Bucay gets excited about helping any patient feel better about their appearance. In our San Antonio cosmetic and medical dermatology offices, we see adults of all ages for an array of cosmetic concerns. While we often focus on the lines and creases that develop as the culprits of dissatisfaction, the fact is that the structure of the face changes over time. The change in shape can elongate the face and widen its lower region. To combat this, many people seek plastic surgery. Thanks to innovative science, we are now able to address mild to moderate structural depletion without invasive techniques. Here, we discuss why more people are turning to Silhouette InstaLift for facial rejuvenation. 

What is Silhouette InstaLift™?

The InstaLift is an FDA-cleared procedure that is performed in the office. Patients are made comfortable with injections of local anesthetic. To rejuvenate the face, Dr. Bucay inserts resorbable suspension sutures into the subcutaneous plane of the skin. This type of suture, made of glycolide/L-lactide (PGLA), have been used in medicine for many years. They are safe and well-tolerated. When inserted beneath the skin, these coned sutures stimulate fibroblasts. This means that the initial lifting effects achieved with the InstaLift threads are boosted over time by the increased production of collagen. The procedure takes less than an hour and incurs little downtime. 

After a Silhouette InstaLift, patients can expect mild swelling, bruising, and discomfort. Swelling and comfort tend to improve nearly 100 percent within 3 to 7 days. Bruising, on the other hand, can be somewhat unpredictable. This side effect may last up to 10 days. The good news is that it does get better every day. Patients are advised to avoid strenuous exercise and heavy lifting for two weeks after their procedure. 

What Makes the Silhouette InstaLift Special?

This treatment is not the same thing as a thread lift. That minimally-invasive technique fell out of favor relatively quickly because it did not achieve consistent results. The Silhouette InstaLift is different because these sutures have bi-directional cones, not barbs, to hold the skin in place. Additionally, before the material absorbs, it stimulates fibroblast activity and brings more collagen to the skin. More collagen means more firmness to offset the effects of aging and gravity. 

If you are feeling the frustration of age-related changes in your face, you may be a good candidate for the Silhouette InstaLift. To find out more, schedule a consultation with Dr. Bucay at our Sonterra or La Casita location. 

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“Very comfortable environment, all staff very were very professional, and Dr. Bucay was a delight. She is an artist with the skills and compassion that focus specifically on the clients needs. Dr. Bucay is amazing.”

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Exciting News – We’re Moving!

For 35 years, as a board-certified dermatologist, I have provided compassionate and exceptional care while offering the latest advancements in skin health and rejuvenation.

 

Health care continues to evolve toward regenerative medicine and longevity, and dermatology is no exception.

 

My core beliefs are that health and beauty are not mutually exclusive, but beauty must never come at the expense of health. Skin health is foundational to overall wellness, and my mission is to empower every patient with the education and tools to optimize skin health.

 

In this spirit, I am thrilled to announce that effective August 3, 2026, the Hardy Oak location of Bucay Dermatology and Aesthetics will have a new home at Stone Oak Physician’s Plaza II, where I will be sharing a wonderful space with Dr. Michelle Harden, MD, Concierge Women’s Health, Menopause, Lifestyle Medicine.

 

I cannot think of a better setting that reflects the future of comprehensive wellness, regenerative care, and healthy aging.

 

I look forward to welcoming both our longtime patients and those visiting us for the first time to our new location:

 

Stone Oak Physician’s Plaza II

540 Oak Centre Drive, Suite 280

San Antonio, TX 78258

 

Now accepting new patients

To schedule your appointment, please call 210.692.3000

 

I am grateful for your trust and confidence – Vivian Bucay, MD

 

P.S. Of course, we will continue to welcome patients to our “La Casita” Monte Vista location at:

La Casita

326 W. Craig Place

San Antonio, TX 78212

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